Individual provider · Type 1 NPI
Detra Elaine Provost, RPH
Pharmacist · Evans, GA
Practice location
4223 Washington Rd
Evans, GA 30809-3069
Fax (706) 993-9781
Mailing address
114 Aberdeen Dr
Aiken, SC 29803-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RPH18214 (GA) |
| Pharmacist | 183500000X | 8706 (SC) |
| Pharmacist | 183500000X | 32754 (TX) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
2 other providers at this address
Other pharmacist providers in Evans
- Katie Guyton, PharmDPharmacist Evans, GA NPI 1003123860
- Diana Dang Tran, PharmDPharmacist Evans, GA NPI 1104602481
- Joshua Nathaniel Nesbitt, PharmDPharmacist Evans, GA NPI 1124433917
- Linh Bao Nguyen, PharmDPharmacist Evans, GA NPI 1124547856
- Epifanio Ramos, PHARMACISTPharmacist Evans, GA NPI 1164520276
- Randall Timothy Plant, BSPharmacist Evans, GA NPI 1174803811
- Thao TranPharmacist Evans, GA NPI 1194558155
- Jennifer Shaver ReidPharmacist Evans, GA NPI 1205311768
About NPI 1265703128
Detra Elaine Provost, RPH's National Provider Identifier is 1265703128, issued on Jan 24, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Evans, GA. The record was last updated on Jan 24, 2012.